고독사 위험계층의 생애과정을 통해 본 사회적 고립 과정과 대응에 대한 사례 연구: 맥락-패턴 분석을 중심으로 = A Case Study on the Process and Response Trajectory of Social Isolation Throughout The Life Courses of People At Risk of Dying Alone: Focusing on Context-Pattern Analysis

다국어 초록 (Multilingual Abstract)

Throughout the analysis of people who were dying alone or have high potential risk on dying alone, important factors, which make them vulnerable or recoverable, are examined in this study.
A psychosocial autopsy and context-pattern analysis are employed and 12 case studies are analyzed in this study. The life contexts of them are investigated according to their economic status, health status, housing status, degree of social relationships and so on. Then, important factors, which make them vulnerable to the social isolation or resilience from high risk, are examined. Throughout these factors, proper policies for the prevention of lonely death are derived.
According to case studies, it was examined that factors (personal characteristics, a series of failures and exclusion, economic difficulties, poor health, abandonment of their family etc) had effect on lonely death. On the contrary, personal and social factors (their robust willingness, the discovery from local residents, social managers, and residential officers, the continuous connection with important communicators, successful public-private joint case management, collaboration with public organizations, family efforts, job connection, etc) make them recoverable and resilience.
Based on the analysis of case studies, it is known that it is really important to find proper high risk people for blind spots. And, neccessary services are urgently expanded and suitable social networks have to be established. Moreover, poor residential environments should be improved and clear guidelines for property disposal for post-death should be prepared. For the last, proper policies according to a life cycle should be improved.
There are many obstacles to investigate lonely-death cases due to the restrictions of personal data access, It is worth to note that this study is contribute to deriving proper policies and encouraging the discussion for the prevention of lonely death.